| NPI | 1366672370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011443) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011443) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2024-01-19 |